Individual
SEJAL THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
82 SPRING LANE, WEST HARTFORD, CT 06107
(860) 206-1205
Mailing address
82 SPRING LANE, WEST HARTFORD, CT 06107
(860) 206-1205
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
010707
CT
Other
Enumeration date
07/04/2009
Last updated
01/05/2015
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